Unknown Provider 1124192950
NPI: 1124192950Share
Active Billing Period:2018-01→2020-12(36 months)
Billing appears to have stoppedLast active: 2020-12
Total Paid
$70.1M
$70,088,971
Total Claims
298K
Beneficiaries
12K
24.2 claims/patient
Avg Cost/Claim
$235
Monthly Spending Trend
Yearly Spending
2018
$24.6M
-6%
2019
$23.1M
-3%
2020
$22.4M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 89% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$62.3M
196K claims
$317.17
$331.94
1.0×
Normal range
T2016Normal range
Habilitation, residential, waiver; per diem
$62.3M
196K claims · 88.9%
Your Cost: $317.17/claim|Median: $331.94
1.0× median$4.2M
52K claims
$81.28
$150.51
0.5×
Normal range
T2021Normal range
Day habilitation, waiver; per 15 min
$4.2M
52K claims · 6.0%
Your Cost: $81.28/claim|Median: $150.51
0.5× median$2.8M
33K claims
$82.69
$88.91
0.9×
Normal range
T2019Normal range
Habilitation, prevocational, waiver; per 15 min
$2.8M
33K claims · 3.9%
Your Cost: $82.69/claim|Median: $88.91
0.9× median$455K
6,194 claims
$73.49
$137.32
0.5×
Normal range
T2017Normal range
Habilitation, residential, waiver; 15 min
$455K
6,194 claims · 0.6%
Your Cost: $73.49/claim|Median: $137.32
0.5× medianA0120Normal range
Non-emergency mini-bus transport
$352K
11K claims · 0.5%
Your Cost: $33.31/claim|Median: $16.09
2.1× median